Radke, Laura L

Radke, Laura L is an individual health care provider with primary practice located at N14W23900 Stone Ridge Dr Prohealth Care Medical Associates, Waukesha WI 53188-1135. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Radke, Laura L can be contacted via phone (262) 574-8000.

Contact Information

Primary practice address
N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Waukesha WI 53188-1135
Phone: (262) 574-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31373 Wisconsin
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 31373 Wisconsin

Profile Details

NPI number 1265516645
LBN Legal business name Radke, Laura L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jan 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265516645 NPPES
Wisconsin MEDICAID 31870200

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